Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $104.71	Professional		$56.23	$85.11	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $34.67 / $67.61	Professional		$30.20	$34.67	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $85.11	Facility		$83.18	$83.18	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $85.11	Facility		$83.18	$83.18	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $60.26	Professional		$30.20	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $147.91	Professional		$67.61	$89.13	$147.91